在白天手术腹腔镜胆囊切除术后影响延迟分泌的因素:DeDiLaCo研究协议
N Cillara1, P Fransvea, R Sechi
1Department of Surgery, PO SS. Trinità, Cagliari, Italy. pietro.fransvea@gmail.com.
European review for medical and pharmacological sciences
|September 26, 2023
概括
在腹腔镜胆囊切除术 (LC) 后延迟排泄在意大利很常见. 确定早期出院的因素可以改善患者的治疗结果,并降低医疗保健成本.
科学领域:
- 胃肠道学和肝胆道外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹腔镜胆囊切除术 (LC) 是对良性胆囊疾病的标准手术程序.
- 虽然LC后的早期放出 (<24小时) 与长时间停留的结果相似,但延迟放出 (>24小时) 率差异很大 (4.6%37%).
研究的目的:
- 为了确定意大利接受选择性LC的患者中延迟放出 (>24小时) 的患病率.
- 确定导致放电延迟的因素,并确定安全的当日放电标准.
- 评估患者的生活质量,晚出院的直接医疗费用,以及患者参与治疗.
主要方法:
- 一项以居民为主导的前性观察性研究,遵循SPIRIT指南.
- 对接受选择性LC的患者收集数据,分析出院时间和相关因素.
主要成果:
- 该研究旨在在24小时内招募至少500名患者,以确定与出院失败相关的因素.
- 在LC后的早期出院在临床结果,患者的生活质量,医疗保健成本和减少等待列表方面提供了好处.
- 现实世界的数据显著影响治疗计划,需要识别早期出院失败的独立预测因素.
结论:
- 在意大利,LC后的延迟排放通常与手术无关,并且可以预防.
- 后勤重组和调整的报销政策可以促进患者更早的出院.
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